Authors : Ashim Kr Boro, Virendra Deo Sinha, Sanjeev Chopra, Utkash Kalra
DOI : 10.18231/j.ijn.2021.028
Volume : 7
Issue : 2
Year : 2021
Page No : 171-174
Multifocal tuberculosis is a rare clinical condition which presents with an indolent and atypical clinical course, leading to a delayed diagnosis along with significant bone and joint destruction. A high index of clinical suspicion along with radiological imaging and confirmation with sample testing from a proper site is required for its diagnosis. We present a case of atypical disseminated multifocal tuberculosis involving the base of skull, posterior spine, ilium, sacroiliac joint and rib that presented with atypical clinical symptoms to a neurosurgeon. Imaging findings were uncommon, more suggestive of a multifocal osteomyelitis or metastasis. Diagnosis of multifocal tuberculosis is difficult by conventional methods; strong clinical suspicion along with CT guided biopsies and in smear negative cases CBNAAT is strongly emphasized.
Keywords : Calvarial tb, Multifocal TB base of skull TB, Posterior spinal TB